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Care Pathways: Integrated Clinical Record or Management Information Tool?

Care Pathways: Integrated Clinical Record or Management Information Tool? ORIGINAL ARTICLE Care pathways: integrated clinical record or management information tool? S. Bond’, R. Balogh2 and M. McKeever3 Centre for Health Services Research, University of Newcastle Upon Tyne, 2Centre for Health Research G Practice Development, St Martin’s College, and University of Nortlzurnbria at Newcastle ABSTRACT. Objectives: To compare the development and implementation of care pathways (CPs) in orthopaedic wards in six acute hospitals in England. Method: Comparative case studies of six English orthopaedic departments with at least 12 months’ experience of CP development, Data were collected between 1992 and 1996 by interviews with clinical and managerial staff, supported by local progress reports and clinical data analyses. Two independent data collectors verified findings. Results: Three princi- pal functions for CPs were discernible: an integrated clinical record, a management information tool, and (less frequently) a clinical audit tool. However, different clinical and management staff groups perceived their functions in different ways, leading to conflicts over use of CPs. This was most pronounced regard- ing the clinical record and management information tool functions. Only one site had managed to use CPs effectively for all three functions. Here, CPs were integrated into strategic planning at the highest level, and considerable resources had been http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Integrated Care Pathways SAGE

Care Pathways: Integrated Clinical Record or Management Information Tool?

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Publisher
SAGE
Copyright
© 2001 SAGE Publications
ISSN
1473-2297
DOI
10.1177/147322970100500204
Publisher site
See Article on Publisher Site

Abstract

ORIGINAL ARTICLE Care pathways: integrated clinical record or management information tool? S. Bond’, R. Balogh2 and M. McKeever3 Centre for Health Services Research, University of Newcastle Upon Tyne, 2Centre for Health Research G Practice Development, St Martin’s College, and University of Nortlzurnbria at Newcastle ABSTRACT. Objectives: To compare the development and implementation of care pathways (CPs) in orthopaedic wards in six acute hospitals in England. Method: Comparative case studies of six English orthopaedic departments with at least 12 months’ experience of CP development, Data were collected between 1992 and 1996 by interviews with clinical and managerial staff, supported by local progress reports and clinical data analyses. Two independent data collectors verified findings. Results: Three princi- pal functions for CPs were discernible: an integrated clinical record, a management information tool, and (less frequently) a clinical audit tool. However, different clinical and management staff groups perceived their functions in different ways, leading to conflicts over use of CPs. This was most pronounced regard- ing the clinical record and management information tool functions. Only one site had managed to use CPs effectively for all three functions. Here, CPs were integrated into strategic planning at the highest level, and considerable resources had been

Journal

Journal of Integrated Care PathwaysSAGE

Published: Aug 1, 2001

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